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V21
Mindray V21 User Manual
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xxxii
0
070-
10-0727-02
V Series Oper
ating Instructions
SYMB
OL
DES
CRI
PTI
ON
Do not r
euse
U.S
Fe
d
er
a
l L
a
w r
es
t
r
ic
t
s
th
i
s d
e
vi
c
e t
o
sa
l
e b
y
or
on the order of a physic
ian or other practitioner
licensed by state
law to use or order th
e use of this device.
CONFORMS T
O UL STD 60601-1, IEC 60601-2-27, IEC 60601-2-25, IEC 60601-2-34, IEC 60601-2-
30, IEC 60601-2-49
CERTIFIED TO CSA STD C22.2 NO 601.1, NO
60601-2-27, NO 60601-2-30, NO 60601-2-34, NO
60601-2-49
34
36
Table of Contents
Table of Contents
4
Foreword
18
Warnings
19
Cautions
25
Notes
29
Indications for Use
30
Applied Parts
30
Unpacking Information
31
Warranty Statements
31
Manufacturer's Responsibility
32
Exemptions
32
Service
32
Company Contact
33
Symbols and Descriptions
34
General Product Description
36
General Product Description
37
Interfacing
37
Series Monitoring Platform
37
Key Features
38
12/V 21 Physical Views
39
Front View
39
Rear View
41
Left Side Panel
43
Right Side Panel
44
Back View
45
Dock Physical Views
45
Left Side View
46
Right Side View
46
VPS Physical Views
47
Getting Started
50
Getting Started
51
Introduction
51
Powering Unit On/Off
51
Main Display
52
Using the V 21 Touch Pad
52
Main Display
53
System Status Message
54
Navigation Area
55
Dialogs
57
List Box
58
Alarm Icons
59
Alarm Icons and Messages
59
Parameter Messages
59
Keyboard Dialog
60
Using the Keyboard
60
Digital Keypad Dialog
61
Message Dialogs
61
Using the Digital Keypad
61
Audio Levels Dialog
62
Battery Levels Dialog
63
Configuring Audio Levels
63
Battery Indicator Colors
64
System Information
64
Display Setup
66
Display Options Dialog
67
Introduction
67
Navigating to the Display Options Dialog
67
Configuring Display Presets
69
Editing a Display Preset
74
Locking/Unlocking Presets
75
Temporarily Editing a Locked Display Preset
76
Copying and Pasting a Display Preset
77
Restoring a Temporary Preset
77
Renaming a Preset
78
Renaming an Empty Preset
78
Deleting a Preset
79
Overlapping Waveform
79
Changing IBP Waveform Overlap Settings
80
Undoing an IBP Waveform Overlap
80
Displaying NIBP Digital Tile in Large Font
81
Discharge Mode
82
Privacy Mode
82
Screen Lock Mode
82
Standby Mode
82
View All ECG Mode
82
Changing Lead/Size
83
Touch Screen Calibration
83
Display Options Troubleshooting
85
12 Docking
87
Introduction
87
Mechanical Functions
87
12 Undocking
88
Battery Installation
89
Battery Removal
91
Battery Charge Checking
93
Module Installation
94
Module Indicator Lights
95
Module Removal
96
Dock
97
Dock Mounting
97
Dock Dismounting
99
21 Docking
100
21 Undocking
101
Hub
102
Hub Dismounting
102
Hub Mounting
102
Module Installation
102
Module Removal
103
Module Locking
104
Module Unlocking
104
Hub Status Indicators
105
Rolling Stand
108
Installing the Thermal Recorder Paper
111
Thermal Recorder
111
Mechanical Functions Troubleshooting
113
Module Configuration
114
Module Status Dialog
115
Changing an IBP or Temperature Module Channel
116
Enabling/Disabling a Module
116
Navigating to the Module Status Dialog
116
Changing VDI Modes
117
12/V 21 Module Limitations
118
12/V 21 V Hub Module Limitations
118
Buttons on VPS
119
VPS Synchronization
119
VPS Synchronization: Mismatched Patient Ids
119
VPS Synchronization Failures
120
VPS Synchronization: same Patient Ids
120
Module Configuration Troubleshooting
121
Patient Management
122
Introduction
123
Navigating to the Patient Info Dialog
123
Patient Info Dialog
123
Admitting a Patient
124
Patient Demographics
124
Patient Room and Bed
126
Discharging a Patient
127
Clearing Patient History
128
Exiting the Standby Mode
128
Placing a Patient in Standby
128
Patient Management Troubleshooting
129
Alarm Behavior
130
Alarm Behaviors
131
Alarm Options
131
General Alarm Behavior
131
Physiological Alarms
131
Physiological Alarm Responses
132
Alarm Behaviors
133
Technical Alarms
133
Alarms
134
Alarm Limits
135
Alarms
135
Configuring Alarm Limits
135
Navigating to the Alarms Dialogs
135
Alarm Limits
136
Factory Default Alarm Limits
138
Auto-Set All Alarms Button
143
Restore All Defaults Button
143
Alarm Responses
144
Characteristics of Visual Alarm Signals
144
Factory Default Alarm Priorities between Alarm Types
144
Understanding Alarm Levels
144
Configuring Alarm Levels
146
Configuring Alarm Response Settings
146
Understanding Alarm Response Settings
146
Factory Default Alarm Settings
147
Arrhythmia Alarms
150
Configuring Arrhythmia Alarm Levels
150
Understanding Alarm Levels
150
Configuring the Arrhythmia Alarm Responses
152
Understanding Arrhythmia Alarm Responses
152
Configuring Advanced Arrhy Setup
153
Configuring Arrhythmia Alarm Setup
153
Alarm Setup
154
Configuring Alarm Setup
154
Alarms Troubleshooting
155
Ecg - Arrhythmia
156
ECG - Arrhythmia
157
Introduction
157
Configuring the Arrhythmia Tab
158
ECG Dialog
158
Navigating to the ECG Dialog
158
Configuring Pacemakers
159
Configuring ECG Setup
160
Configuring the Arrhy Setup
162
Relearning
162
Viewing All ECG Waveforms
163
About the Arrhythmia Tile
164
Arrhythmia Alarms
164
Arrhythmia Digital Tile Layout
164
Message Area
164
About the ECG Tile
165
Arrhythmia Alarms
165
ECG Waveform Tile Layout
165
Message Area
165
Electrode Patch Location
167
Preparation and Lead Placement
167
Skin Preparation
167
Lead Placement
168
Arrhythmia Algorithm
176
Noise and Artifact
176
Beat Detection and Typing
177
ECG Amplitude
177
Filtering Pacer Signals
177
Heart Rate Meter
177
Learning
177
ECG Analysis Leads
178
Qt/Qtc Digital Tile Layout
179
Arrhythmia Alarms
181
Lethal Arrhythmia Alarms
181
Non-Lethal Arrhythmia Alarms
182
ST Segment Analysis
185
ECG Filters
186
Learning
186
12 Lead Dialog
187
12 Lead Interpretation
187
12 Lead Report
191
ECG-Arrhythmia Troubleshooting
192
Respiration (Resp)
194
Introduction
195
Navigating to the Resp Dialog
195
Resp Dialog
195
Respiration (Resp)
195
Configuring Resp Alarm Limits
196
Configuring the Resp Parameter
196
Resp Dialog
196
Configuring Apnea Alarms
198
Configuring the Resp Waveform
198
About the Resp Tile
200
Message Area
200
Resp Alarms
200
Respiration Digital Tile Layout
200
Respiration Tile Layouts
200
About the Resp Waveform Tile
201
Respiration Waveform Tile Layout
201
Respiration Troubleshooting
202
Invasive Blood Pressure (Ibp)
204
Introduction
205
Invasive Blood Pressure (IBP)
205
Configuring IBP Alarm Limits
206
IBP Dialog
206
Navigating to the IBP Dialog
206
Configuring the IBP Parameter
207
Configuring the IBP Waveform
208
Measuring IBP
210
Connecting to the Camino Device
211
Measuring ICP
211
IBP Digital Tile Layout
213
IBP Tile Layouts
213
Intraabdominal Pressure (IAP) Digital Tile
214
Intracranial Pressure (ICP) Digital Tile
214
PA Digital Tile
214
PAWP Digital
214
About the IBP Tile
215
Message Area
215
IBP Waveform Tile Layout
216
Inserting the PA Catheter
217
Measuring PAWP
218
Pulmonary Artery Wedge Pressure (PAWP)
218
PAWP Setup Dialog
219
Understanding the PAWP Dialog
219
IBP Troubleshooting
221
Heart Rate (Hr)
222
Dialog
223
Heart Rate (HR)
223
Introduction
223
Navigating to the HR Dialog
223
Configuring Heart Rate Alarm Limits
224
Configuring the Heart Rate Parameter
224
Configuring the QRS Threshold
225
About the HR Tile
226
Heart Rate Digital Tile Layout
226
HR Alarms
226
Message Area
227
Troubleshooting
227
Temperature (Temp)
228
Introduction
229
Temperature (Temp)
229
Configuring Temperature Alarm Limits
230
Navigating to the Temperature Dialog
230
Temperature Dialog
230
Configuring the Temperature Parameter
231
Connecting to the Camino Device
232
Measuring ICT
232
Measuring Temperature
234
Temperature Probes
234
Esophageal Stethoscope with 400 Series Thermistor Temperature Sensor
235
Esophageal/Rectal Temperature Probe with 400 Series Thermistor
236
Temperature Digital Tile Layout
238
About the Temperature Tile
239
Message Area
239
Temperature Alarms
239
Temperature Troubleshooting
239
Non-Invasive Blood Pressure (Nibp)
240
Introduction
241
Non-Invasive Blood Pressure (NIBP)
241
Configuring NIBP Alarm Limits
242
Configuring the NIBP Parameter
242
Navigating to the NIBP Dialog
242
NIBP Dialog
242
Measurement Types
244
Measuring NIBP
244
NIBP Cuff Checklist
244
Factors Affecting Blood Pressure Measurement Accuracy
245
Measurement Limitations
245
Measuring NIBP
247
Preparing the Patient
247
NIBP Interval Measurements
248
Pausing/Restarting a Clock or Interval NIBP Measurement
248
Cuff Inflation Time
249
General NIBP Information
249
NIBP Digital Tile Layout
249
NIBP Pressure Limit Fail Safe
249
NIBP Stat Measurements
249
NIBP Tile Layouts
249
Stopping a Stat NIBP Measurement
249
About the NIBP Tile
250
NIBP Alarms
250
Heart Rate (HR) Measurement
251
Message Area
251
NIBP List Tile Layout
252
NIBP Troubleshooting
252
Introduction
255
Pulse Oximetry (Spo2)
255
Configuring Spo2 Alarm Limits
256
Configuring the Spo2 Parameter Setup
256
Navigating to the Spo2 Dialog
256
Spo2 Dialog
256
Configuring the Spo2 Waveform
259
Measuring Spo2
260
Taking an Spo 2 Measurement
260
Masimo Spo2
261
Spo 2 Digital Tile Layout
262
Spo2 Tile Layouts
262
Message Area
263
Spo2 Alarms
263
Spo2 Waveform Tile Layout
264
About the Spo2 Waveform Tile
265
Performance Considerations
265
Spo2 Troubleshooting
266
This Page Intentionally Left Blank.
268
Introduction
269
Navigating to the ST Dialog
269
ST Dialog
269
Configuring ST Alarms Limits
270
Configuring the ST Parameter
270
Adjusting the ISO and J/ST Points
272
Reviewing ST Points
274
ST Relearning
274
ST Digital Tile Layout
275
ST Tile Layouts
275
About the ST Tile
276
Message Area
276
ST Rep Beat Tile
276
About the ST Rep Beat Tile
277
ST Alarms
277
ST Troubleshooting
277
CO2 Monitoring (Optional)
279
Introduction
279
CO2 Dialog
280
Configuring the CO2 Parameter Setup
281
Configuring the CO2 Waveform
282
CO2 Sensors
283
Taking a CO2 Measurement
283
CO2 Alarms
284
CO2 Digital Tile Layout
284
CO2 Tile Layouts
284
Message Area
284
CO2 Waveform Tile Layout
285
About the CO2 Waveform Tile
286
CO2 Troubleshooting
286
Message Area
286
Cardiac Output (CO) (Optional)
289
Introduction
289
Cardiac Output Dialog
290
Configuring Tblood Alarm Limits
290
Navigating to the Cardiac Output Dialog
290
Configuring the CO Parameter
291
Auto and Manual CO Measurements
293
Measuring CO
293
Optimizing CO Measurements
293
Taking CO Measurements
293
About the CO Tile
296
CO Alarms
296
CO Digital Tile Layout
296
CO Troubleshooting
297
Message Area
297
Bispectral Index (Bis) (Optional)
300
Bispectral Index (BIS) (Optional)
301
Introduction
301
BIS Dialog
302
Configuring bis Alarms
302
Navigating to the bis Dialog
302
Alarm Responses: Neuro Tab
303
Configuring the bis Parameter
303
Configuring the Tile Setup Tab
304
Configuring the EEG Waveform
305
Auto and Manual Sensor Check
307
Auto Impedance Check
309
Measuring bis
310
BIS Digital Tile Layout
311
BIS Tile Layout
311
About the bis Digital Tile
312
About the bis Parameters
312
BIS Alarms
313
Message Area
313
BIS Waveform Tile Layout
314
About the EEG Waveform Tile
316
BIS Troubleshooting
316
Reports
318
Introduction
319
Navigating to the Print Setup Dialog
319
Print Setup
319
Reports
319
Configuring the Print Setup
320
Configuring the Waveforms to Print
321
Configuring the Print Destination
322
Navigating to the Print Queue Dialog
323
Print Queue
323
Deleting All Print Requests
324
Internal Recorder (Optional)
324
Printing an ECG Strip
324
Printing to the Thermal Recorder
324
Laser Printer Reports
325
Waveform Report
325
12 Lead Report
327
List Trend Report
332
Disclosure Overview Report
334
Disclosure Detail Report
337
Event List Report
340
Event Detail Report
342
Graphic Trend Report
345
Print on Alarm Report
348
ST Report
350
PAWP Report
353
Drug Calculations Report
355
Hemodynamic Calculation Report
357
Quick Trend Report
359
System Settings Report
361
Printing Troubleshooting
363
History Dialogs
364
About Quick Trends
365
History Dialogs
365
Introduction
365
List Trends
365
Navigating to the Quick Trends Tab
365
Trends
365
About the List Trends Tab
366
Navigating in the List Trends Tab
366
Navigating to the List Trends Tab
366
Trends
366
Configuring a List Trends Display Group
367
Configuring a List Trends Display Interval
367
Configuring a List Trends Time Search
367
Graphic Trends
367
Printing from the List Trends Tab
367
About the Graphic Trends Tab
368
Navigating to the Graphic Trends Tab
368
Configuring a Graphic Trends Display Group
369
Configuring a Graphic Trends Display Interval
369
Configuring a Graphic Trends Time Search
369
Navigating in the Graphic Trends Tab
369
Printing from Graphic Trends
369
Viewing Event Detail from Graphic Trends
369
About the Events - List View Tab
370
Events - List View
370
Events Tab
370
Navigating to the Events Tab
370
Applying/Removing an Events Filter
371
Navigating in the Events - List View
371
Archiving Events in the Events - List View
372
Tagging Events in the Events - List View
372
Changing Leads in the Events - List View
373
Configuring Displayed Parameters for the Events - List View
373
Creating an Events - List View Time Search
373
Deleting Events in the Events - List View
373
Printing from the Events - List View
373
About the Events - Detail View
374
Accessing the Events - Detail View
374
Navigating in the Events - Detail View
374
Configuring Displayed Parameters for the Events - Detail View
375
Printing from the Events - Detail View
375
Full Disclosure
376
Navigating to the Full Disclosure - Overview View
376
History Dialog Common Functions
378
Historical Events
387
Troubleshooting
393
Calculators
394
Hemodynamics Calculations
395
Hemodynamics Dialog
395
Hemodynamic Calculations Report
398
Drug Calculations
399
Drug Calculator Dialog
399
Hemodynamic Calculations Troubleshooting
399
Drug Calculations Report
407
Drug Calculator Troubleshooting
407
Product Maintenance
448
Care and Cleaning of Monitor, Modules and Racks
449
Introduction
449
Care and Cleaning of Spo2 Sensors
450
Care and Cleaning of Reusable Cuffs
451
Battery Maintenance
452
Care and Cleaning of Lead ECG Cables and Wires
452
Care of CO2 Module
453
Accessories
454
Ecg
455
Ibp
460
Temperature
460
Bis
462
Miscellaneous Accessories
463
Mounts & Mounting Accessories
463
Manuals
464
Networking Accessories
464
Product Specifications
466
Specifications
468
ECG Performance
481
Impedance Respiration Performance
493
Non-Invasive Blood Pressure (NIBP) Performance
496
Invasive Blood Pressure (IBP) Performance
499
Pulse Oximetry (Spo2) Performance
503
Thermodultion Cardiac Output (CO) Performance
506
Carbon Dioxide (CO2) Performance
507
Bispectral Index (BIS) Performance
510
Continuous Cardiac Output (CCO) Performance
511
Drug Calculations
517
Power Specifications
518
Safety Designations
519
Electromagnetic Capability
520
Environmental Conditions
525
Continuous Cardiac Output (Cco) & Continuous Hemodynamics (Optional)/Gases (Optional)
536
About this Addendum
538
Cautions
538
Foreword
538
Notes
538
Warnings
538
Indications for Use
539
Cco/Hemo Configuration
541
Continuous Cardiac Output (CCO) & Continuous Hemodynamics (Optional)
541
Introduction
541
Navigating to the CCO Dialog
541
Configuring Cco/Hemo Alarms
543
Alarm Responses: Cco/Hemo Tab
545
Configuring the CCO Parameter
545
CCO Setup
547
Connecting to an Edwards Monitor
547
Edwards Lifesciences Monitors
547
CCO Digital Tile Layout
548
Configuring the Edwards Monitor Serial Port
548
Digital Tiles
548
About the CCO Tile
549
CCO Alarms
549
Message Area
549
About the CCO STAT Tile
550
CCO Alarms
550
CCO STAT Digital Tile Layout
550
Hemo Digital Tile Layout
551
Message Area
551
About the Hemo Tile
552
Hemo Tile Setup
553
Saving Hemo Calculations
554
Hemo Alarms
555
Message Area
555
CCO Troubleshooting
556
Gases (Optional)
558
Introduction
559
Configuring Gases Alarm Limits
560
Gas Dialog
560
Navigating to the Gas Dialog
560
Configuring the Gases Parameter Setup
561
Calibrating Gases
563
Restarting the Monitoring
564
Zeroing Manually
564
MAC Values
565
Gases Digital Tile Layout
567
Gases Tile Layouts
567
Measurement Limitations
567
About the Gases Digital Tile
568
Gases Alarms
568
Message Area
568
CO2 Waveform Tile Layout
569
Gases Troubleshooting
569
Introduction
571
Navigating to the Rso2 Dialog
571
Regional Oxygen Saturation (Rso2) (Optional)
571
Rso2 Configuration
571
Alarm Responses: Rso2 Tab
572
Configuring Rso2 Alarms
572
Configuring the Rso2 Parameter
573
Connecting to an INVOS Monitor
574
INVOS Monitor
574
Rso2 Setup
574
Configuring the INVOS Monitor Serial Port
575
Rso2 Digital Tile Layout
575
Rso2 Tiles
575
About the Rso2 Tile
576
Message Area
576
Rso2 Alarms
576
Rso2 Troubleshooting
577
Introduction
579
Mixed Venous Oxygen Saturation (Svo2) (Optional)
579
Navigating to the Svo2 Dialog
579
Svo2 Configuration
579
Alarm Responses: Cco/Hemo Tab
580
Configuring Svo2 Alarms
580
Configuring the Svo2 Parameter
581
Connecting to the Edwards Monitor
582
Edwards Lifesciences Monitors
582
Svo2 Setup
582
Configuring the Edwards Monitor Serial Port
583
Svo2 Digital Tile Layout
583
About the Svo2 Tile
584
Message Area
584
Svo2 Alarms
584
Svo2 Troubleshooting
584
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Mindray V21 Specifications
General
Brand
Mindray
Model
V21
Category
Medical Equipment
Language
English
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